Kathleen Jordan | Source | Chief Medical Officer at Midi Health

As long as these tests show nothing suggesting an anatomic cause that should be treated, like removal of a fibroid or polyp or possible cancer, medical management is considered. This would typically be oral contraceptive pills or cyclic progesterone or often off-label use of a Mirena IUD, which is a very effective way to manage heavy or irregular bleeding up to menopause.

On average, this happens to women at age 51, though the timing varies significantly. As our ovaries begin to secrete less estrogen, we enter a roller coastering of hormone levels that trigger a variety of symptoms, a stage known as perimenopause, and for most women it occurs throughout our 40s, if not earlier.